Pastor / Church Leader Reference Applicant's NameApplicant's GradeKindergarten123456789101112Your NamePhoneChurchPositionDescribe the father's church attendance. Weekly Fairly Regularly Occasionally Seldom/Never Describe the mother's church attendance. Weekly Fairly Regularly Occasionally Seldom/Never Describe the applicant's church attendance. Weekly Fairly Regularly Occasionally Seldom/Never How long has this family attended your church?To the best of your knowledge, are the parents of the applicant born again Christians, as described in John 3:1-21? Yes No Not sure How would you characterize the parents’ overall Christian testimony? Strong and positive Above average and growing Growing Sometimes questionable Poor Unknown What best describes the applicant’s relationship toward parents (Obedient, respectful, loving, etc.) Excellent, seldom any problem Occasional problems Many problems Unknown (7th – 12 grades) What best describes the applicant’s choice of friends? Consistently selects good friends Some friends who are not helpful Unselective, troublesome Unknown (7th – 12 grades) What best describes the applicant’s habits? (Morals, language, amusements, etc.) None or few problems Occasional problems Serious problems Unknown (7th – 12 grades) Please evaluate the applicant’s over-all Christian testimony: Strong and positive Above average and growing Growing Sometimes questionable Poor Unknown Given that ACA is a ministry of Northwest Valley Baptist Church and is a school which puts a high priority on Christian discipleship together with quality academics, do you recommend this applicant for admission to Arrowhead Christian Academy? Yes No Not sure Please add any additional comments which you feel will help us to get to know the applicant and his or her family: Δ
